DOI: http://dx.doi.org/10.18203/2319-2003.ijbcp20195283

A study on knowledge, awareness and preventive practice about tuberculosis among medical students in Udaipur, India

Balaji D. More, Chintan Doshi, Vijay Baghel, Anju B. More

Abstract


Background: Tuberculosis (TB) is a highly lethal infectious disease causing huge health burden worldwide, commonly involving the respiratory system. Medical students should also be empowered to impart awareness and reduce stigma related to TB. The objective of this study was to evaluate whether educational intervention would affect the level of TB awareness, knowledge, attitude and preventive practice of TB among medical students.

Methods: The present study was carried out among the second year medical college students of Pacific Institute of Medical Sciences, Udaipur, India (n=142). A multiple-choice questionnaire of 45 questions was designed in English language, for pre- and post-tests. A 30-minute visual health education was given on TB and the assessment of knowledge, attitude and preventive practice of TB was done by a pre-test and post-test questionnaire.

Results: Out of the total 150 student, 142 participated in the study making the response rate 94.66%. The total mean percentage of correct answers for TB knowledge was 48.59 (±20.44) which improved to 69.33 (±17.74) post-training. The total mean percentage of right attitude was 63.036 (±16.46) which improved to 77.06 (±15.58) post-training. The total mean percentage of correct answer for preventive practice were provided by 67.036 (±12.90) which changed to 79.50 (±12.01) post-training. There was significant difference in the knowledge, attitude and preventive practice of students in pre- and post-training tests (p=0.001).

Conclusions: Our findings revealed that medical students had poor knowledge. A simple TB education session had a positive influence on knowledge, attitude and preventive practices about TB among them.


Keywords


Attitude, Knowledge, Medical students, Practice, TB

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References


Kasa AS, Minibel A, Bantie GM. Knowledge, attitude and preventive practice towards tuberculosis among clients visiting public health facilities. BMC Res Notes. 2019;12(1):276.

Uppada DR, Selvam S, Jesuraj N, Lau EL, Doherty TM, Grewal HMS, et al. Incidence of tuberculosis among school-going adolescents in South India. BMC Public Health. 2016;16:641.

Hibstu D, Bago B. Knowledge, attitude and practice of tuberculosis and its transmission among high school students in Yirgacheffe town, Gedeo zone, southern Ethiopia. J Infect Dis Preve Med. 2016;4(1000142):2.

Lönnroth K, Raviglione M. Global epidemiology of tuberculosis: prospects for control. Semin Respir Crit Care Med. 2008;29(5):481-91.

Joshi R, Reingold AL, Menzies D, Pai M. Tuberculosis among health-care workers in low-and middle-income countries: a systematic review. PLoS Medicine. 2006;3(12):e494.

Uden L, Barber E, Ford N, Cooke GS. Risk of tuberculosis infection and disease for health care workers: an updated meta-analysis. Open Forum Infect Dis. 2017;4(3):ofx137.

de Vries G, Šebek MMGG, Lambregts-van Weezenbeek CSB. Healthcare workers with tuberculosis infected during work. European Respiratory Journal. 2006;28(6):1216-21.

Basavaraj A, Chandanwale A, Patil A, Kadam D, Joshi S, Gupte N, et al. Tuberculosis Risk among Medical Trainees, Pune, India. Emerg Infect Dis. 2016;22(3):541-3.

Pai M, Gokhale K, Joshi R, Dogra S, Kalantri S, Mendiratta DK, et al. Mycobacterium tuberculosis infection in health care workers in rural India: comparison of a whole-blood interferon γ assay with tuberculin skin testing. JAMA. 2005;293(22):2746-55.

Canetti G, Froman S, Grosset JA, Hauduroy P, Langerova M, Mahler H, et al. Mycobacteria: laboratory methods for testing drug sensitivity and resistance. Bull World Health Organ. 1963;29(5):565.

Vanaja K, Banu R, Reddy L, Kumar PC, Srinivas C, Rajani T, et al. A study on knowledge and awareness about tuberculosis in senior school children in Bangalore, India. Indian J Tuberc. 2016;63(3):192-8.

Acharya PR, D'Souza M, Sahoo RC. Tuberculosis knowledge and attitude in aspiring doctors and nurses - Is it time for our TB teaching methods to evolve?. Indian J TB. 2017;64(1):20-5.

Ou Y, Luo Z, Mou J, Ming H, Wang X, Yan S, et al. Knowledge and determinants regarding tuberculosis among medical students in Hunan, China: a cross-sectional study. BMC Public Health. 2018;18(1):730.

Harrity S, Jackson M, Hoffman H, Catanzaro A. The National Tuberculosis Curriculum Consortium: a model of multi-disciplinary educational collaboration. Int J Tuberc Lung Dis. 2007;11(3):270-4.

Emili J, Norman GR, Upshur RE, Scott F, John KR, Schmuck ML. Knowledge and practices regarding tuberculosis: a survey of final-year medical students from Canada, India and Uganda. Med Educ. 2001;35(6):530-6.

Kilicaslan Z, Kiyan E, Erkan F, Gurgan M, Aydemir N, Arseven O. Evaluation of undergraduate training on tuberculosis at Istanbul Medical School. Int J Tuberc Lung Dis. 2003;7(2):159-64.

Jackson M, Harrity S, Hoffman H, Catanzaro A. A survey of health professions students for knowledge, attitudes, and confidence about tuberculosis, 2005. BMC Public Health. 2007;7:219.

Storla DG, Yimer S, Bjune GA. A systematic review of delay in the diagnosis and treatment of tuberculosis. BMC Public Health. 2008;8(1):15.

Cramm JM, Finkenflügel HJ, Møller V, Nieboer AP. TB treatment initiation and adherence in a South African community influenced more by perceptions than by knowledge of tuberculosis. BMC Public Health. 2010;10(1):72.

Adane K, Spigt M, Johanna L, Noortje D, Abera SF, Dinant GJ. Tuberculosis knowledge, attitudes, and practices among northern Ethiopian prisoners: Implications for TB control efforts. PLoS One. 2017;12(3):e0174692.

Krithika SA, Jayanthi NN, Subramanian S. Awareness of tuberculosis among nurses. IAIM. 2018;5(4):153-60.

Ochoa J, Hincapie-Palacio D, Sepulveda H, Ruiz D, Molina A, Echeverri S, et al. Simulation of risk of tuberculosis infection in healthcare workers in hospitals of an intermediate incidence country. Epidemiol Infect. 2015;143(12):2639-47.

Rafiza S, Rampal KG, Tahir A. Prevalence and risk factors of latent tuberculosis infection among health care workers in Malaysia. BMC Infect Dis. 2011;11(1):19.

Kinikar A, Chandanwale A, Kadam D, Joshi S, Basavaraj A, Pardeshi G, et al. High risk for latent tuberculosis infection among medical residents and nursing students in India. PLoS One. 2019;14(7):e0219131.

Soto A, Huablocho P, Ulloque J. Early conversion of tuberculin skin test in medical students who begin hospital practices. Brazil J Infect Dis. 2013;17(3):383-4.

Teixeira EG, Menzies D, Comstock G, Cunha A, Kritski A, Soares L, et al. Latent tuberculosis infection among undergraduate medical students in Rio de Janeiro State, Brazil. Intl J Tuberculosis Lung Dis. 2005;9(8):841-7.

Harries AD, Hargreaves NJ, Gausi F, Kwanjana JH, Salaniponi FM. Preventing tuberculosis among health workers in Malawi. Bull World Health Organ. 2002;80(7):526-31.

Bagheri Amiri F, Doosti-Irani A, Sedaghat A, Fahimfar N, Mostafavi E. Knowledge, Attitude, and Practices Regarding HIV and TB Among Homeless People in Tehran, Iran. Int J Health Policy Manag. 2018;7(6):549-55.

Laurenti P, Federico B, Raponi M, Furia G, Ricciardi W, Damiani G. Knowledge, experiences, and attitudes of medical students in Rome about tuberculosis. Medical Sci Monitor: Int Med J Exp Clin Res. 2013;19:865.

Sreechat S. Assessment of knowledge attitude and preventive behavior of pulmonary tuberculosis among Myanmar refugees in Ban Mai Nai Soi temporary shelter Mae Hong Son Thailand: Chulalongkorn University; 2012.

Montagna MT, Napoli C, Tafuri S, Agodi A, Auxilia F, Casini B, et al. Knowledge about tuberculosis among undergraduate health care students in 15 Italian universities: a cross-sectional study. BMC Public Health. 2014;14(1):970.

Teixeira EG, Menzies D, Cunha AJLA, Luiz RR, Ruffino-Netto A, Scartozzoni MS, et al. Knowledge and practices of medical students to prevent tuberculosis transmission in Rio de Janeiro, Brazil. Revista Panamericana de Salud Pública. 2008;24:265-70.

Jackson M, Harrity S, Hoffman H, Catanzaro A. A survey of health professions students for knowledge, attitudes, and confidence about tuberculosis, 2005. BMC Public Health. 2007;7(1):219.

Koay T. Knowledge and attitudes towards tuberculosis among the people living in Kudat District, Sabah. Med J Malaysia. 2004;59(4):502-11.

Zhao Y, Ehiri J, Li D, Luo X, Li Y. A survey of TB knowledge among medical students in Southwest China: is the information reaching the target? BMJ Open. 2013;3(9):e003454.

Emili J, Scott F, Upshur R, Schmuck M, John K. Attitudes toward tuberculosis of final year medical students from Canada, India, and Uganda. Teaching Learn Med. 2002;14(3):168-74.

Bhandari SR, Bande R. Knowledge, attitude and practice against tuberculosis infection control among medical students and nursing staff. J Cont Med A Dent. 2016;4(2):29-32.

Seid A, Metaferia Y. Factors associated with treatment delay among newly diagnosed tuberculosis patients in Dessie city and surroundings, Northern Central Ethiopia: a cross-sectional study. BMC Public Health. 2018;18(1):931.

Kurane S, Kudoh S. The importance of the examination of, education on, and infection control of tuberculosis in medical school hospitals in Japan. Kekkaku (Tuberculosis). 2003;78(9):573-80.

Bai L, Xiao S, Xie H, Yang G, Wang Y. Knowledge and practice regarding tuberculosis among final-year medical students in Hunan, China. Zhonghua jie he he hu xi za zhi= Zhonghua jiehe he huxi zazhi= Chin J Tuberculosis Respirator Dis. 2003;26(8):458-61.